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Oxford Uehiro Prize in Practical Ethics: If Doctors Could Administer a Treatment That Would Move a Patient From a Vegetative State to a Minimally Conscious One, Should They Do So?

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This essay was the runner up in the graduate category of the 6th Annual Oxford Uehiro Prize in Practical Ethics.

Written by University of Oxford student Matthew Minehan.

INTRODUCTION
Sally is a healthy young woman who suffers catastrophic brain trauma. Over many months, her doctors subject her to functional Magnetic Resonance Imagining (fMRI) scans and other assessments that leave them in no doubt that she is in a vegetative state. While she shows sleeping and waking activity patterns, her body is operating on ‘automatic’ and she has no consciousness. She is “incognizant, incapacitated and insensate” (Fenwick 1998, p.86).

Sally’s doctors are aware of a new treatment that, if administered, would move her from the vegetative state to a minimally conscious one. This new state would involve fractured consciousness, a lack of awareness of her condition, an inability to direct her own life and an incapacity for complex thought. Because Sally has no known next of kin and issued no advance directive, the decision on her treatment is left to her medical team.

Should the doctors in this hypothetical scenario administer the treatment to Sally?Read More »Oxford Uehiro Prize in Practical Ethics: If Doctors Could Administer a Treatment That Would Move a Patient From a Vegetative State to a Minimally Conscious One, Should They Do So?

Oxford Uehiro Prize in Practical Ethics: Can it be Wrong For Victims to Report Crimes?

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This essay was the winning entry in the graduate category of the 6th Annual Oxford Uehiro Prize in Practical Ethics.

Written by University of Oxford student, Maya Krishnan.

 

Introduction

Late one night in Managua, Nicaragua, a man punched Leslie Jamison in the face and then ran away with her camera. Jamison called the police. Forty minutes later, a police truck pulled up with a man in the back. A sense of discomfort informs Jamison’s subsequent narration of the incident in her essay collection, The Empathy Exams (2014). Jamison found herself occupying a morally fraught role: that of a white American in Nicaragua who got the police to try to hunt down a likely significantly poorer man. Had she done something wrong by calling the police?Read More »Oxford Uehiro Prize in Practical Ethics: Can it be Wrong For Victims to Report Crimes?

Oxford Uehiro Prize in Practical Ethics: Can Science Ethically Make Use Of Data Which Was Gathered By Unethical Means?

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This essay was the runner up in the undergraduate category of the 6th Annual Oxford Uehiro Prize in Practical Ethics

Written by University of Oxford student Toby Lowther

In this paper, I discuss the question of whether science can ethically make use of data which has been gathered by unethical means in seeking scientific and medical advances to alleviate future suffering. This is an ever-controversial issue of practical ethics, and although the American Medical Assosciation provides firm guidelines on the matter (AMA, 1995), the ethical question remains complex. I will begin by laying out the core issue: the conflict between the desire to censure unethical practices used in gathering such data and the desire to use all data available to bring about the greatest good for society. I will present arguments either side, leading to an ethical stalemate, before presenting how issues of practical consideration for scientific methodology resolve the conflict. I conclude that science cannot make use of data gathered by unethical means, because such data cannot ethically be replicated, and reproducibility is necessary for the validity of the scientific method. I leave open the question of whether it is ethical for the findings of such unethical experiments to guide future, ethical research.Read More »Oxford Uehiro Prize in Practical Ethics: Can Science Ethically Make Use Of Data Which Was Gathered By Unethical Means?

Oxford Uehiro Prize in Practical Ethics: Why Is Virtual Wrongdoing Morally Disquieting, Insofar As It Is?

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This essay was the winning entry in the undergraduate category of the 6th Annual Oxford Uehiro Prize in Practical Ethics.

Written by University of Oxford student, Eric Sheng.

In the computer game Red Dead Redemption 2 (henceforward, RDR2), players control a character in a virtual world. Among the characters represented by computer graphics but not controlled by a real-world player are suffragettes. Controversy arose when it became known that some players used their characters to torture or kill suffragettes. (One player’s character, for example, feeds a suffragette to an alligator.) In this essay, I seek to explain the moral disquiet ­– the intuition that things are awry from the moral perspective – that the players’ actions (call them, for short, ‘assaulting suffragettes’) provoke. The explanation will be an exercise in ‘moral psychology, philosophical not psychological’:[1] I seek not to causally explain our disquiet through the science of human nature, but to explain why things are indeed awry, and thus justify our disquiet.

My intention in posing the question in this way is to leave open the possibilities that our disquiet is justified although the players’ actions are not wrong, or that it’s justified but not principally by the wrongness of the players’ actions. These possibilities are neglected by previous discussions of virtual wrongdoing that ask: is this or that kind of virtual wrongdoing wrong? Indeed, I argue that some common arguments for the wrongness of virtual wrongdoing do not succeed in explaining our disquiet, and sketch a more plausible account of why virtual wrongdoing is morally disquieting insofar as it is, which invokes not the wrongness of the players’ actions but what these actions reveal about the players. By ‘virtual wrongdoing’ I mean an action by a player in the real world that intentionally brings about an action φV by a character in a virtual world V such that φV is wrong-in-V; and the criteria for evaluating an action’s wrongness-in-V are the same as those for evaluating an action’s wrongness in the real world.[2]Read More »Oxford Uehiro Prize in Practical Ethics: Why Is Virtual Wrongdoing Morally Disquieting, Insofar As It Is?

Cross Post: Flouting Quarantine

Written by Dr Thomas Douglas Dr Tom Douglas has recently published a fascinating article on the Stockholm Centre, For the Ethics of War and Peace blog: As I write this, COVID-19, an illness caused by the new coronavirus SARS-CoV-2, is sweeping the globe. Over 15,000 people have died, and it is likely that at least… Read More »Cross Post: Flouting Quarantine

Congratulations to our Winners and Runners up in the Oxford Uehiro Prize in Practical Ethics 2020

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Please join us in congratulating all of the finalists in this unique final for the Oxford Uehiro Prize in Practical Ethics, and in particular our winners, Eric Sheng and Maya Krishnan. In an Oxford Uehiro Centre first the 6th Annual Oxford Uehiro Prize in Practical Ethics was held as a Zoom webinar event. The Finalists in each… Read More »Congratulations to our Winners and Runners up in the Oxford Uehiro Prize in Practical Ethics 2020

Assessing and Respecting Sentience After Brexit

Thanks to a generous grant from Open Philanthropy, last year the Uehiro Centre for Practical Ethics and the Wellcome Centre for Ethics and Humanities co-sponsored a workshop with the Royal Society for the Prevention of Cruelty to Animals (RSPCA) examining the ethical and legal implications of recent advancements in our ability to assess the mental states and well-being of nonhuman animals.  The impetus for the meeting was that since 2009, the United Kingdom had been operating under article 13 of the Lisbon Treaty which states that the European Union and member states, ”shall, since animals are sentient beings, pay full regard to the welfare requirements of animals.” However, after voting to leave the European Union, the United Kingdom was tasked with deciding which rules and provisions to retain, and controversy erupted several years ago when MPs voted against transferring this provision of the Lisbon Treaty to the United Kingdom post-Brexit.

Read More »Assessing and Respecting Sentience After Brexit

The Right Not to Know and the Obligation to Know

By Ben Davies

Most people accept that patients have a strong claim (perhaps with some exceptions) to be told information that is relevant to their health and medical care. Patients have a Right to Know. More controversial is the claim that this control goes the other way, too. Some people claim, and others deny, that patients also have a Right Not to Know.

A number of considerations (harm to the patient; autonomy; privacy) have been marshalled on either side of this debate over the past few decades (e.g. Laurie 2004; Robertson and Savulescu 2001; Herring and Foster 2012; Takala 2019). In this post, I focus on a distinct argument and its apparently unassailable logic. This is the view that a comprehensive Right Not to Know cannot be justified because in many cases a patient’s ignorance will likely lead harm to third parties (Council of Europe 1997; Rhodes 1998; Harris and Keywood 2001).

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Responsibility, Healthcare, and Harshness

Written by Gabriel De Marco

Suppose that two patients are in need of a complicated, and expensive, heart surgery. Further suppose that they are identical in various relevant respects: e.g., state of the heart, age, likelihood of success of surgery, etc. However, they differ on one feature: for one of these patients, call her Blair, the need for the heart surgery is due to her lifestyle (suppose she was a smoker), whereas the other, Ingrid, has not had this lifestyle, nor any other that would lead to the need for the surgery.

Some people think that:

  1. We can be responsible and blameworthy for our actions and their consequences.

Some of those people also think that:

  1. We can, or should, take this into account when making decisions about how to distribute healthcare resources.

For the purposes of this blog post, let’s assume 1 and 2 are true. Commonly, it is thought that, in order to be blameworthy for something, one must be responsible for it. Further, it is commonly thought that, whatever the appropriate response is to blameworthiness for something or other (assuming that there is an appropriate response), it will be negative in some sense or other. Now further suppose that Blair is blameworthy for her illness. Given 1 and 2, this fact about Blair, combined with the fact that Ingrid is innocent with regard to her illness, suggests that, at least in some contexts, we should treat them differently (or at least it would be permissible to do so). Call a healthcare policy that adopts, and reflects, 1 and 2 a Responsibility-Sensitive Policy, or RSP for short.

Read More »Responsibility, Healthcare, and Harshness